Intestinal volvulus: Aetiology, morbidity and mortality in Tunisian children
Background: Intestinal volvulus (IV) can occur at various sites of the gastrointestinal tract. In Europe, IV in children is most frequently due to malrotation but in Asia Ascaris infestation is a common cause. This report reviews the experience with IV in children in Tunisia; analyzes the aetiologie...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | African Journal of Paediatric Surgery |
| Subjects: | |
| Online Access: | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2011;volume=8;issue=2;spage=147;epage=150;aulast=Faouzi |
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| author | Nouira Faouzi Ben Ahmed Yosra Jlidi Said Ghorbel Soufiane Charieg Aouatef Khemakhem Rachid Chaouachi Beji |
| author_facet | Nouira Faouzi Ben Ahmed Yosra Jlidi Said Ghorbel Soufiane Charieg Aouatef Khemakhem Rachid Chaouachi Beji |
| author_sort | Nouira Faouzi |
| collection | DOAJ |
| description | Background: Intestinal volvulus (IV) can occur at various sites of the gastrointestinal tract. In Europe, IV in children is most frequently due to malrotation but in Asia Ascaris infestation is a common cause. This report reviews the experience with IV in children in Tunisia; analyzes the aetiologies as well as the clinical presentations and the benefits of the Ladd′s procedure in the treatment of the IV. Patients and Methods: The authors retrospectively reviewed the case records of all children with IV from January 2000 to December 2009 at the Tunis Children′s Hospital. Results: There were 22 boys and nine girls with an age range of one day to four years. Twenty-five (80%) patients presented during the neonatal period. The most common presentation was bilious vomiting and dehydration. The aetiology was identified in all patients: Anomalies in rotation (n=22), omphalo-mesenteric duct (n=3), internal hernia (n=3), cystic lymphangioma (n=2), caocal volvulus (n=1). The bowel resection rate for gangrene was 16%. All patients with malrotation had Ladd′s procedure performed. Five patients (19%) developed wound infections. One patient presented with adhesive small bowel obstruction. There were no recurrences following Ladd′s procedure for malrotation. Two neonates (6%) died from overwhelming infections. Intestinal volvulus in our environment differs in aetiology from other reports. The resection rates are not similar, however. Conclusion: Early diagnosis reduced the high morbidity and mortality in our study. |
| first_indexed | 2024-12-12T01:52:52Z |
| format | Article |
| id | doaj.art-c89b5cbe0fb544739d4948866108c748 |
| institution | Directory Open Access Journal |
| issn | 0189-6725 0974-5998 |
| language | English |
| last_indexed | 2024-12-12T01:52:52Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | African Journal of Paediatric Surgery |
| spelling | doaj.art-c89b5cbe0fb544739d4948866108c7482022-12-22T00:42:26ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67250974-59982011-01-018214715010.4103/0189-6725.86050Intestinal volvulus: Aetiology, morbidity and mortality in Tunisian childrenNouira FaouziBen Ahmed YosraJlidi SaidGhorbel SoufianeCharieg AouatefKhemakhem RachidChaouachi BejiBackground: Intestinal volvulus (IV) can occur at various sites of the gastrointestinal tract. In Europe, IV in children is most frequently due to malrotation but in Asia Ascaris infestation is a common cause. This report reviews the experience with IV in children in Tunisia; analyzes the aetiologies as well as the clinical presentations and the benefits of the Ladd′s procedure in the treatment of the IV. Patients and Methods: The authors retrospectively reviewed the case records of all children with IV from January 2000 to December 2009 at the Tunis Children′s Hospital. Results: There were 22 boys and nine girls with an age range of one day to four years. Twenty-five (80%) patients presented during the neonatal period. The most common presentation was bilious vomiting and dehydration. The aetiology was identified in all patients: Anomalies in rotation (n=22), omphalo-mesenteric duct (n=3), internal hernia (n=3), cystic lymphangioma (n=2), caocal volvulus (n=1). The bowel resection rate for gangrene was 16%. All patients with malrotation had Ladd′s procedure performed. Five patients (19%) developed wound infections. One patient presented with adhesive small bowel obstruction. There were no recurrences following Ladd′s procedure for malrotation. Two neonates (6%) died from overwhelming infections. Intestinal volvulus in our environment differs in aetiology from other reports. The resection rates are not similar, however. Conclusion: Early diagnosis reduced the high morbidity and mortality in our study.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2011;volume=8;issue=2;spage=147;epage=150;aulast=FaouziChildrenintestinal volvulusmalrotationoutcome |
| spellingShingle | Nouira Faouzi Ben Ahmed Yosra Jlidi Said Ghorbel Soufiane Charieg Aouatef Khemakhem Rachid Chaouachi Beji Intestinal volvulus: Aetiology, morbidity and mortality in Tunisian children African Journal of Paediatric Surgery Children intestinal volvulus malrotation outcome |
| title | Intestinal volvulus: Aetiology, morbidity and mortality in Tunisian children |
| title_full | Intestinal volvulus: Aetiology, morbidity and mortality in Tunisian children |
| title_fullStr | Intestinal volvulus: Aetiology, morbidity and mortality in Tunisian children |
| title_full_unstemmed | Intestinal volvulus: Aetiology, morbidity and mortality in Tunisian children |
| title_short | Intestinal volvulus: Aetiology, morbidity and mortality in Tunisian children |
| title_sort | intestinal volvulus aetiology morbidity and mortality in tunisian children |
| topic | Children intestinal volvulus malrotation outcome |
| url | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2011;volume=8;issue=2;spage=147;epage=150;aulast=Faouzi |
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